CECILIA M VICUNA KEADY (NPI# 1558334656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558334656 |
| Entity Type | Individual |
| Full Name | CECILIA M VICUNA KEADY |
| Credential | ARNP |
| Practice Address |
157 Main Street Charlestown NH 03603 |
| Mailing Address |
Po Box 93 Charlestown NH 03603-0093 |
| Practice Telephone | 6038634100 |
| Practice Fax Number | 6035265085 |
| Mailing Telephone | 6038263434 |
| Mailing Fax Number | 6037693406 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 1010030222 | VT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0525322303 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1010552 | 05 |
| Street Address |
157 MAIN STREET |
| City | CHARLESTOWN |
| State | NH |
| Zip Code | 03603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851506646 | Fall Mountain Regional School District | Local Education Agency (LEA) | 159 East Street, Charlestown, NH 03603 | 2007-05-14 |
| 1487722260 | George H. Grabe | Dentist | 275 Main St., Charlestown, NH 03603 | 2006-12-01 |
| 1780601419 | Clare Barrett Gowen | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Pt Associates Inc, Charlestown, NH 03603 | 2006-07-17 |
| 1750391397 | Tammy Lee Nash | Physical Therapist | 23 Caryl Lane, Weeks and Gowen Physical Therapy Associates Inc, Charlestown, NH 03603 | 2006-08-08 |
| 1215954946 | Weeks and Gowen Physical Therapy Associates Inc | Physical Therapist | 23 Caryl Lane, Charlestown, NH 03603 | 2006-07-17 |
| 1548234040 | Daniel Caloras | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-14 |
| 1407828247 | Springfield Hospital | Family Medicine | 125 Main St, Charlestown, NH 03603 | 2006-02-06 |
| 1720129695 | Terrell G Klema | Chiropractor | 296 Main St., Charlestown, NH 03603-0077 | 2007-02-12 |
| 1922149897 | Brendan A. Klema | Chiropractor | 296 Main St, Charlestown, NH 03603-0077 | 2007-02-12 |
| 1578687984 | Town of Charlestown | Ambulance | 215 Springfield Road, Charlestown, NH 03603-0385 | 2007-03-19 |
| Find all providers in zip 03603 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790715654 | Mary E Lyster | Family Medicine | 4533 S County Trl, Charlestown, RI 02813-3428 | 2006-07-04 |
| 1629020078 | William Enloe Hoke Jr. | Family Medicine | 1454 Market St, Charlestown, IN 47111-1839 | 2006-05-16 |
| 1902857147 | Adam A French | Family Medicine | 2300 Market St, Charlestown, IN 47111-9810 | 2006-05-12 |
| 1841241320 | Theresa Stroot | Family Medicine | 7725 Highway 62 Ste 100, Charlestown, IN 47111-9637 | 2006-05-12 |
| 1952370710 | Mazen M Ibrahim | Family Medicine | 9423 Highway 403, Charlestown, IN 47111-9664 | 2006-03-15 |
| 1164401147 | Sherrial Renay Simmers | Family Medicine | 1701 5th Avenue, Charlestown, WV 25312 | 2006-01-10 |
| 1053394023 | George Patrick Mcghee | Family Medicine | 935 Water St, Charlestown, IN 47111-1430 | 2005-11-23 |
| 1841285574 | Janna M Sellmer | Family Medicine | 11500 Highway 62, Charlestown, IN 47111-8612 | 2005-09-19 |
| 1003434416 | North Clark Physicians Group LLC | Family Medicine | 2100 Market St Ste 200, Charlestown, IN 47111-8507 | 2020-07-13 |
| 1013427970 | Michelle Kenny | Family Medicine | 529 Main St Ste 216, Charlestown, MA 02129-1122 | 2017-10-05 |
| Find all providers in CHARLESTOWN | ||||
| City | CHARLESTOWN |
| Zip Code | 03603 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.